Poudala hrudaii roll no 126

  A 60 YR OLD FEMALE CAME TO OPD WITH C/O EPIGASTRIC PAIN SINCE 3 MONTHS PATIENT WAS APPRENTLY ASSYMPTOMATIC 3 MONTHSN AGO THEN SHE DEVELOPED BURNING SENSATION OVER THE STOMACH ASOCIATED WITH EPIGASTRIC REGION PAIN SINCE 3 MONTHS NO GENERALISED WEAKNESS ASSOCIATED WITH NO SHORTNESS OF BREATH S NO H/O COUGH NO H/O CHEST PAIN PALPITATIONS H/O DRINKING KALLU SIINVE 20 YR H/O TEA SINCE 8 TIMES /DAY GENERAL EXAMINATION: PATIENT IS CONSCIOUS,COHERENT, COOPERATIVE,WELL ORIENTED TO TIME,PLACE AND PERSON. NO PALLOR,ICTERUS CYANOSIS,CLUBING, LYMPHADENOPATHY,EDEMA. VITALS: TEMPERATURE:99   BP:100/60 MM HG PR:84 BPM RR:18 CPM SYSTEMIC EXAMINATION: CVS:S1,S2 HEARD NO MURMURS. CNS:NO FOCAL NEUROLOGICAL DEFICITS DERMA REFERAL DONE I/V/O PAPULES ON LEFT SHOULDER ADVIVE MOMATE F CREAM L/A BD 1 WEEK T. TECZINE 5MG OD 1 WEEK TAB RABIKIND DSR PO/OD  X 15 DAYS 7AM - TAB NEUROBIONE FORT PO /OD FOR 30 DAYS 2 PM SYP SUCRALFATE 10 PO/BD  1PM AND 7 PM MOMATE F CREAM L/A BD 1 WEEK T. TECZINE 5MG OD 1 WEEK

C/O  Deviation of mouth to right side  - Weakness of Left Upper Limb .and left lower limb History of present illness:  He  was apparently asymptomatic yesterday. Then as he was coming out of  room he was unable to use left upper limb followed by which she developed deviation of mouth to the right side. It was associated with drooling of saliva from the right angle of mouth.. He was having sulring of speech . - No c/o headache. - No c/o nausea. - No c/o fever. - No c/o vomitings. Past history:no similar complaints in the past No history of DM, HTN, TB, BA, Epilepsy, CAD. Personal h/o:  Diet -mixed  Appetite - decreased Bowel habits - regular  Bladder habits - regular Sleep - adequate  addictions      He is an chronic alcholic for 30 yr and he used to drink 1 half a day                          BD 1 pack /day since 35 yr  General examination:  Patient is conscious, coherent,cooperative   REFLEXES EXAMINATION: https://youtube.com/shorts/NhtYElhOfM8?feature=share https://yo

C/O  FEVER SINCE 6 DAYS   PATIENT WAS APPRENTLY ASSYMPTOMATIC 6 DAYS BACK THEN SHE DEVELOPED FEVR , HIGH GRADE INTERMITTANT TYPE ASSOCIATED WITH CHILLS AND RIGORS RELIVED TEMPOARARILY ON MEDICATION NO DIURNAL VARIATION   SINCE 2 DAYS ASSOCIATED WITH BODY PAINS  NOT ASSOCIATED WITH COLD COUGH VOMITING LOOSE STOOLS  PAIN ABDOMEN HEADACH GIDDINESS  PATIENT WAS ADMITTED IN OUTSIDE HOSPITAL AND CONSERVATIVE MANAGMENT WAS GIVEN OUTSIDE PLATLET COUNT WERE 28000 K/O CASE OF DMII 3 YR N/K/C/O HTN CVA CAD TB ASTAMA SEIZURE GENERAL EXAMINATION: PATIENT IS CONSCIOUS,COHERENT, COOPERATIVE,WELL ORIENTED TO TIME,PLACE AND PERSON. NO PALLOR,ICTERUS CYANOSIS,CLUBING, LYMPHADENOPATHY,EDEMA. VITALS: TEMPERATURE:99   BP:100/60 MM HG PR:84 BPM RR:18 CPM SYSTEMIC EXAMINATION: CVS:S1,S2 HEARD NO MURMURS. CNS:NO FOCAL NEUROLOGICAL DEFICITS TREATMENT GIVEN : TAB GLIMI M2 PO BD TO CONTIUE 7AM -7PM TAB DOLO 650 PO /SOS TAB NEUROBIONE FORT PO /OD 2 PM FOR 15 DAY S

 Came to the opd with cheif complaints of fever since 3 days and  body pain since 3 days ,  sob since 1 day  c/o FEVER SINCE 3 DAYS C/O BODY PAINS SINCE 3 DAYS C/O SOB SINCE 1 DAY PATIENT WAS APPARENTLY ASYMPTOMATIC 3 DAYS AGO THEN HE DEVELOPED FEVER SINCE 3 DAYS HIGH GRADE FEVER CHILLS+ CONTINOUS TYPE INSIDIOUS ONSET GRADUALLY PROGRESSIVE NO AGGREVATING AND RELIEVING FACTORS ASSOCIATE WITH BODY PAINS AND GENERALISED WEAKNESS ASSOCIATED WITH SHORTNESS OF BREATH SINCE 1 DAY GRADE II NO H/O COUGH NO H/O CHEST PAIN PALPITATIONS OUTSIDE REPORTS PLATELETS 13000 K/C/O DM II SINCE 10 YRS ON TAB GLIMI MI PO OD K/C/O HTN SINCE 1 YEAR ON TAB METXL 50 MG PO OD H/O EYE SX RIGHT EYE CATARAC OUTSIDE REPORT platelet 13000 DM II SINCE 10 YR AND ON TAB GLIMI MI AND HTN SINCE 1 YR ON TAB METEXL 50MG                                                     SEQUENCE OF EVENTS   VENKANNA IS FARMER BY OCCUPATION 10 YR BACK HE HAD GIDDINESS  HE WENT TO HOSPTIAL AND DIAGNOSED WITH DIABETES                        

    I AM P HRUDAII , 2018 batch INTERN. I THANK DR. RAKESH BISWAS SIR HOD   This is a compailation of work blogs and PAJR created during my medicine rotation! This is an online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from global online community of experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.  This E log book also reflects my patient-centred online learning portfolio and your valuable inputs on the comment box is welcome."I've been given this case to solve in an attempt to understand the topic of "patient clinical data analysis" to develop my competency in reading and comprehending clinical data including history, clinical findings, investigations and come up with a diagnosis and treatment plan.   PSYCIYATRY: CA